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Maine rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,015.40 / $19,611.27 / $25,142.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,235.78 / $16,755.20 / $32,803.04